2012 Boys Application Form

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Girls Application

School Name:  
Coach’s Name:   
School Address: 
City:       State:                 Zip: 
Home Address:
City:      State:                 Zip: 
Cell Phone:            
Home Phone:    
School Phone:  
 
Email Address:
 
Which level of competition would you like to play:                  Level 1 (Gold):        or       Level 2 (Silver):            or          Level 3 (Bronze):
 
 

Check Session to indicate team (or teams) (9th, JV, Varsity)

Session I June 17, 18, 19 (Sunday–Tuesday)   9th   JV   Varsity
Session II June 24, 25, 26 (Sunday–Tuesday)   9th   JV   Varsity
Session III July 8, 9, 10 (Sunday–Tuesday)   9th   JV   Varsity

School Colors:    (If you want reversible jerseys)
 
Golf         Or               Attache Bag            Or               Jacket    -   Jacket Size:
 
Deposit:                      Number of players:
 
PLEASE SELECT ONE: 

Resident at Siena Heights University ($198)
Resident at Siena without reversible practice jersey ($187)
Resident at Motel-with lunch and dinner ($163)
 Commuter without meals ($123)
Games ONLY ($92)
 
Make check payable to:
ADRIAN TEAM CAMP		 Send to:
Adrian Team Camp Inc.
795 Richlyn Drive, Adrian, MI 49221

For further information:   Contact Pat at (517) 264-6148 or email.